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[Body integrity identity disorder, relief after amputation].

R M Blom, A W Braam, N de Boer-Kreeft

    Tijdschrift Voor Psychiatrie
    |January 22, 2014
    PubMed
    Summary

    Body integrity identity disorder (BIID) is a rare condition causing distress over an unwanted body part. A patient with BIID, experiencing relief after a leg amputation, highlights the disorder's impact.

    Area of Science:

    • Psychiatry
    • Neurology
    • Medical Psychology

    Background:

    • Body integrity identity disorder (BIID) is a rare condition characterized by a persistent desire to amputate a healthy limb.
    • This condition involves a profound disconnect between the individual's body image and their physical self.
    • Patients often experience intense psychological distress and a compulsive urge for amputation, previously termed 'apotemnophilia'.

    Observation:

    • A 58-year-old male patient with BIID presented with a self-induced frostbite injury to his leg, an attempt to facilitate self-amputation.
    • The patient's intense desire for amputation stemmed from the feeling that the limb did not belong to his body.
    • He sought professional surgical intervention for the amputation due to the severity of his condition.

    Findings:

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    • Surgical amputation of the patient's leg resulted in immediate and sustained profound relief.
    • Psychological and functional well-being improved significantly post-amputation.
    • Follow-up assessments three years later indicated continued relief and absence of regret.

    Implications:

    • This case underscores the severe psychological distress associated with BIID and the potential therapeutic benefit of amputation for select patients.
    • It highlights the need for further research into the neurobiological underpinnings of BIID.
    • Understanding BIID is crucial for developing effective and ethical treatment strategies for individuals with profound body integrity distress.